Zir L M, Dinsmore R E, Goss C, Harthorne J W
Cathet Cardiovasc Diagn. 1975;1(3):303-10. doi: 10.1002/ccd.1810010309.
Experience with a simplified technique for selective coronary angiography by the brachial cutdown approach using preformed coronary catheters in over 500 cases is described. This technique has facilitated selective catheterization of the coronary arteries in patients where use of the Sones catheter has proven difficult or impossible. Particularly, coronary arteries in patients with a dilated aortic root, high-rising left coronary artery or tortuous subclavian artery are easily catheterized with the preformed catheters described in this report. Shortened procedure time, an acceptable morbidity (1.4%) and mortality (0.2%), and improved coronary opacification by virtue of the ease in selectively entering the coronary ostia make these preformed catheters a useful modification to coronary angiography by the transbrachial approach.
描述了在500多例患者中使用预制冠状动脉导管经肱动脉切开途径进行选择性冠状动脉造影的简化技术经验。该技术有助于在使用Sones导管已证明困难或不可能的患者中对冠状动脉进行选择性插管。特别是,主动脉根部扩张、左冠状动脉高位上升或锁骨下动脉迂曲的患者,使用本报告中描述的预制导管很容易进行冠状动脉插管。缩短的手术时间、可接受的发病率(1.4%)和死亡率(0.2%),以及由于易于选择性进入冠状动脉口而改善的冠状动脉显影,使这些预制导管成为经肱动脉途径冠状动脉造影的有用改进。